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CT引导下经皮穿刺引流术治疗剖宫产术后粪肠球菌严重脓肿:病例报告及文献复习

CT-guided drainage with percutaneous approach as treatment of E. Faecalis post caesarean section severe abscess: case report and literature review.

作者信息

Leanza V, Lo Presti V, Di Guardo F, Leanza G, Palumbo M

出版信息

G Chir. 2019 Jul-Aug;40(4):368-372.

PMID:32011995
Abstract

We report a case of a 32-year old woman with severe pelvic abscess formation who was readmitted to the hospital after ten days of postoperative caesarean course. The patient had undergone emergency caesarean section (CS) for acute foetal sufferance during expulsive period and following three days had been discharged regularly. Enterococcus Faecalis was isolated from purulent material. A prompt antibiotic therapy was carried out, therefore clinic condition did not improve. A percutaneous Computed Tomography (CT)-guided drainage of the abscess was planned. Under local anesthesia abscess was drained. The hospitalization stay allowed monitoring the patient's clinical condition and laboratory blood panel until normalization of all parameters.

摘要

我们报告一例32岁女性,其患有严重盆腔脓肿形成,在剖宫产术后十天再次入院。该患者在分娩期因急性胎儿窘迫接受了急诊剖宫产,术后三天正常出院。从脓性物质中分离出粪肠球菌。随即进行了抗生素治疗,但患者临床状况并未改善。于是计划在计算机断层扫描(CT)引导下经皮穿刺引流脓肿。在局部麻醉下进行了脓肿引流。住院期间持续监测患者的临床状况和实验室血液指标,直至所有参数恢复正常。

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引用本文的文献

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Conservative Treatment of Severe Pelvic Abscess Post-Cesarean Section in China: A Case Series.中国剖宫产术后严重盆腔脓肿的保守治疗:病例系列
Int J Womens Health. 2025 Jul 17;17:2157-2163. doi: 10.2147/IJWH.S532452. eCollection 2025.
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A rare but troublesome complication of cesarean section: the uterocutaneous fistula. Report of two cases and review of literature.剖宫产一种罕见但棘手的并发症:子宫皮肤瘘。两例报告并文献复习。
Case Rep Perinat Med. 2022 Aug 19;11(1):20210057. doi: 10.1515/crpm-2021-0057. eCollection 2022 Jan.
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Image-Guided Percutaneous Drainage of Abdominal Abscesses in Pediatric Patients.
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Children (Basel). 2024 Feb 29;11(3):290. doi: 10.3390/children11030290.
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Appl Sci (Basel). 2023 Jun 2;13(12). doi: 10.3390/app13127308. Epub 2023 Jun 20.